Well Child Visits

The following list is a schedule for recommended wellness visits:

• Hospital follow-up
• 2 week
• 1 month
• 2 month
• 4 month
• 6 month
• 9 month
• 1 year
• 15 month
• 18 month
• 2 year
• 30 month
• 3 year
• 4 year
• Yearly exams during childhood and adolescence.

The AAP recommends yearly exams for health maintenance during childhood and
adolescence. Our office requires up-to-date wellness checks for forms and prescription
refills.

• Hospital/newborn – Hepatitis B first dose
• First newborn office visit – Beyfortus if during RSV season and mom did not receive RSV
• vaccine at least 2 weeks prior to delivery
• 1 month – Hepatitis B – usually second dose
• 2 months – Pentacel (DTaP, Hib, IPV), Vaxneuvance, Rotavirus
• 4 months – Pentacel, Vaxneuvance, Rotavirus – second doses
• 6 months – Pentacel, Vaxneuvance, Rotavirus – third doses, First flu vaccine offered, and early MMR for travel if needed.
• 9 months – Hepatitis B third dose, check hemoglobin
• 12 months – MMR, Varicella, Vaxnuevance
• 15 months – Hepatitis A first dose, Pentacel 4th dose
• 18 months – none unless requires catch-up vaccines
• 24 months – Hepatitis A second dose
• 30 months – none unless requires catch-up doses
• 3 years – none unless requires catch-up doses
• 4 years – DTaP/IPV 5th doses, Varicella and MMR second doses
• 11 years – Menquadfi and Tdap
• 12 and 13 years – HPV first and second doses
• 16 years – Second Menquadfi dose and first MenB dose
• 18 years – Tdap and Second Men B dose before college

Beyfortus= monoclonal antibody against Respiratory Syncytial Virus
DTaP= diphtheria, tetanus, acellular pertussis
Hib= Haemophilus influenzae
IPV= inactivated (killed virus) polio
Vaxneuvance= Pneumococcal 15 valent
Rotavirus= Rotavirus (oral vaccine)
MMR= measles, mumps, rubella
Varicella= chickenpox
Menquadfi= 4 -valent meningococcal
MenB= Serotype B meningococcal
TdaP= tetanus, diphtheria, pertussis vaccine for children over 7 years
HPV= human papilloma virus
Covid vaccine series may start at 6 months. Ask your doctor about where to go for this
vaccine as we do not administer in our office.
Flu vaccine first offered at 6 months visit and is recommended as a yearly vaccine.

The American Academy of Pediatrics recommends routine, annual, testing of hearing and vision for children beginning at the age of 3 years old. (Other methods of screening from birth until 3 years of age are used at all wellness visits.) Often preschools and kindergarten require such evaluations upon entry. For your convenience, we are pleased to be able to offer both here at CMG during your child’s well check. In addition, if you ever have concerns about your child’s hearing or vision, we are able to conduct such testing outside of a regular well check as well. Just let the front desk scheduling know your concerns.
For hearing we use OAE (otoacoustic emission) testing. For vision we use the Snellen eye chart.

Prior to testing your child, we want you to be aware that hearing and vision screening may not be covered services under your insurance plan, or that are services that may be applied to your deductible or coinsurance.

Following is a brief description of each test.

OAE: Otoacoustic Emissions Test
This brief test is performed with a sleeping infant or an older child who may be able to sit quietly. A tiny probe is placed in the ear canal, many pulse-type sounds are introduced, and an echo response from the outer hair cells in the inner ear is recorded. These recordings are averaged by a computer. A normal recording is associated with healthy outer hair cell function and reflects normal hearing, although in some cases hearing loss may be caused by problems in other parts of the hearing pathway. In the event of a failed test, we will perform an expanded screening with additional frequencies and decibels. Failure of both screenings may require referral to an audiologist for further testing.

Snellen eye chart
This eye chart is a universal screening tool or visual acuity. Children who are still learning their letters are able to be tested using pictures. The chart measures the vision in each eye, as well as together, and gives a visual acuity based on distance.

You will receive a copy of a report with your child’s results.

Most school athletic programs and some community teams require a physical exam yearly for participation. The purpose of the pre-participation physical exam is to identify medical conditions that can have life-threatening complications during participation (certain heart conditions), that may require a treatment plan before or during participation (asthma), or that could interfere with performance. The exam is also meant to identify and rehabilitate injuries. It is recommended to occur 4 to 6 weeks prior to the beginning of the sports season.

Please remember to bring your form with you to the appointment and have the first page with questions completed for the physician to review.